DEVIN SISOMPHOU


Address: 6102 82nd St Ste 10, Lubbock, TX 79424
Phone: 8069933333

DEVIN SISOMPHOU (NPI# 1508344789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508344789
Entity Type Individual
Full Name DEVIN SISOMPHOU
Credential BCBA, M.ED, LBA
Practice Address 6102 82nd St Ste 10
Lubbock
TX 79424
Mailing Address 3100 Premier Dr Ste 234
Irving
TX 75063-2693
Practice Telephone 8069933333
Mailing Telephone 8069933333
Enumeration Date 2018-07-31
Last Update Date 2019-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 247200000X Technician, Other RBT-17-33360 TX Technologists, Technicians & Other Technical Service Providers
Y 103K00000X Behavioral Analyst 3032 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS DEPARTMENT OF LICENSING & REGULATION 3032 01
TX BACB RBT-17-33360 01

Office Location

Street Address 6102 82ND ST STE 10
City LUBBOCK
State TX
Zip Code 79424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174001358 Emily Cowell Technician, Other 6102 82nd St Ste 10, Lubbock, TX 79424 2018-07-31
1952923187 Savannah Mize Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2020-05-11
1578185997 Tabor Holcomb Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2020-05-07
1295375657 Saralynn Prater Valdez Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2020-01-13
1093355455 Kristi Wallae Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2020-01-13
1992340574 Shaghayegh Sarah Sohrab Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2019-11-07
1598306433 Lyndie Hinson Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2019-10-02
1932740875 Ashley Rainwater Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2019-10-02
1750922696 Lillie Douglas Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2019-10-02
1831740281 Roxanne Guzman Behavior Technician 6102 82nd St Ste 10, Lubbock, TX 79424-0802 2019-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376158121 West Texas H.a.n.d. Pllc Surgery 5613 114th St, Lubbock, TX 79424 2020-09-09
1811519044 H-e-b, Lp Clinical Medical Laboratory 4405 114th Street, Lubbock, TX 79424 2020-05-11
1184245573 Jim Lee Lowrance Chiropractor 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 2020-04-27
1134787377 April Denise Gardea Speech-Language Pathologist 6502 Slide Road Suite 204, Lubbock, TX 79424 2019-06-03
1215590658 April Dawn Fortner Counselor 7617 86th St., Lubbock, TX 79424 2019-04-22
1427514561 Thornhill Healthcare II, Inc. Pharmacy 6823 82nd St, Suite 600, Lubbock, TX 79424 2019-02-13
1043718786 Edward Murphy Pharmacist 8702 Toledo Ave, Lubbock, TX 79424 2018-01-29
1013434364 Yung Ling Tsai Specialist/Technologist 4707 116th Street, Lubbock, TX 79424 2017-08-28
1285187237 Wter Quaker, Lp Clinic/Center 10205 Quaker Ave, Lubbock, TX 79424 2016-07-26
1942685474 Robert Cunningham Pharmacist 5214 98th Street, Suite 303, Lubbock, TX 79424 2015-07-27
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558912444 Amanda Lynn Hampton Behavioral Analyst 2811 Oakridge Ave Apt 303, Lubbock, TX 79407-2879 2019-09-23
1376048231 Christin Hope Fierro Behavioral Analyst 1614 Avenue M Ste 42, Lubbock, TX 79401-4952 2018-03-24
1053824250 Allison Elizabeth Sheats Behavioral Analyst 2902 18th St, Lubbock, TX 79409-9820 2017-11-09
1295288868 Dianna Terry Behavioral Analyst 4505 82nd St Ste 5, Lubbock, TX 79424-3219 2016-07-29
1124420427 Chrystal Jansz Behavioral Analyst 2902 18th Street, Lubbock, TX 79409 2014-09-18
1336552652 Cortni Mckay Behavioral Analyst 5815 82nd Street Suite 145 #130, Lubbock, TX 79424 2014-06-04
1497196331 Caprock Behavioral Solutions,llc Behavioral Analyst 3405 63rd St, Lubbock, TX 79413-5416 2013-07-08
1578822490 Double Spectrum, Inc. Behavioral Analyst 3515 26th St, Lubbock, TX 79410-2025 2012-05-12
1063788289 Teresa Balawejder Behavioral Analyst 16304 County Road 2040, Lubbock, TX 79423-4618 2012-04-02
1740413301 Teresa Ashbridge-balawejder Behavioral Analyst 2315 94th St, Lubbock, TX 79423-4403 2009-08-31
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Competitor

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City LUBBOCK
Zip Code 79424

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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